MEDICARE: MICHAEL L VILARDO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	1896491	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00085287	OTHER		MEDICARE TRAVELERS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	000524733003	OTHER	CHOICE BLUE II
2	470901436	OTHER	AETNA US HEALTHCARE
3	470901436	OTHER	AMERICAN PROGRESSIVE
4	000524733003	OTHER	COMMUNITY BLUE FIFTEEN
5	470901436	OTHER	FIRST HEALTH NETWORK
6	15792	OTHER	SPECTERA
7	470901436	OTHER	TRICARE INSURANCE
8	633	OTHER	DAVIS VISION
10	470901436	OTHER	NOVA HEALTHCARE
11	00026064505	OTHER	UNIVERA
12	000524733003	OTHER	BLUE CROSS/BLUE SHIELD
13	0809012	OTHER	IHA TEN
14	470901436	OTHER	AARP
15	470901436	OTHER	UNITED AMERICAN INS
16	470901436	OTHER	COLE VISION
17	0809012	OTHER	INDEPENDENT HEALTH
18	470901436	OTHER	CIGNA HEALTH CARE

General Provider Information

NPI Number	:	1316948714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL L VILARDO MD

Provider Business Mailing Address
First Line	:	4800 N FRENCH RD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2178
Country	:	US
Telephone Number	:	716-688-0996
Fax Number	:	716-896-2318

Provider Business Practice Location Address
First Line	:	4800 N FRENCH RD
Second Line	:	SUITE 4
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2178
Country	:	US
Telephone Number	:	716-688-0996
Fax Number	:	716-688-0997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/29/2014

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